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This is VAERS ID 271096

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271096
Age:17.0
Gender:Female
Location:Texas
Vaccinated:2007-01-10
Onset:2007-01-10
Submitted:2007-01-20
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure decreased, Disorientation, Fall, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Shortly after administration of vaccine, patient loss consciousness, fell from exam table to floor. Was out for 2-3 minutes, was very disoriented and seemed to have difficult time waking. Blood pressure was checked about 5 minutes later when move back to"table. Had dropped from initial measurement of 100/70 to 80/40-patient rested for approximately 30 minutes and pressure went back up to 90/70. Patient allowed to leave. Patient has no history of any reactions to injections.


Changed on 12/8/2009

VAERS ID: 271096 Before After
Age:17.0
Gender:Female
Location:Texas
Vaccinated:2007-01-10
Onset:2007-01-10
Submitted:2007-01-20
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blood pressure decreased, Disorientation, Fall, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Shortly after administration of vaccine, patient loss consciousness, fell from exam table to floor. Was out for 2-3 minutes, was very disoriented and seemed to have difficult time waking. Blood pressure was checked about 5 minutes later when move back to"table. to table. Had dropped from initial measurement of 100/70 to 80/40-patient rested for approximately 30 minutes and pressure went back up to 90/70. Patient allowed to leave. Patient has no history of any reactions to injections.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271096&WAYBACKHISTORY=ON


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